NPI | 1801550421 |
---|---|
Doing Business As | CROSSROADS TREATMENT CENTER HERMITAGE |
Entity Type | Organization |
Authorized Contact | RUPERT JAMES MCCORMAC President 864-527-3145 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2021-10-29 |
Last Update Date | 2021-10-29 |